Provider Demographics
NPI:1073739249
Name:MATALONE, FRANK (DO)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:MATALONE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:FRANK
Other - Middle Name:
Other - Last Name:MATALONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO,ND
Mailing Address - Street 1:2296 HENDERSON MILL RD NE STE 405
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-2739
Mailing Address - Country:US
Mailing Address - Phone:404-941-8621
Mailing Address - Fax:770-696-9740
Practice Address - Street 1:2296 HENDERSON MILL RD NE STE 405
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-2739
Practice Address - Country:US
Practice Address - Phone:404-941-8621
Practice Address - Fax:770-696-9740
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA038861208D00000X, 202D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice